The prevalence of non-communicable disease risk factors in community-living patients with psychiatric disorders: A study from North India

Singh, Shubh Mohan; Surendran, Indu; Jain, Sanjay; Sharma, Akhilesh; Dua, Devakshi; Shouan, Anish

doi:10.1016/j.ajp.2019.03.004

Cited by 10 publications

(11 citation statements)

References 19 publications

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“…The number of studies presenting such evidence appears to be low compared to the high burden of noncommunicable diseases in South Asia (Ghaffar et al, 2004). Also, people with mental disorders may have non-communicable disease risk factors as found in a study from North India (Singh et al, 2019). Such coexistence of mental disorders with other medical conditions is a major population health concern in South Asia.…”

Section: Key Findings and Implications For Future Researchmentioning

confidence: 99%

Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses

Hossain

Purohit

Sultana

et al. 2020

Asian Journal of Psychiatry

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Objectives: Mental disorders are highly prevalent in eight South Asian countries, yet there is a gap of a synthesized overview of the prevalence of mental disorders in this region. This umbrella review aims to summarize the prevalence of mental disorders from systematic reviews and metaanalyses of South Asian studies. Materials and methods: A systematic search of 11 major databases and additional sources was conducted until December 11, 2019. Articles were included if they were systematic reviews or meta-analyses, reported the prevalence of mental disorders, and reported primary studies conducted in South Asian countries only. Results: Among 2591 citations, a total of 23 reviews met all the criteria of this umbrella review. The synthesized findings from those reviews suggest high prevalence rates for mental disorders, including depressive disorders, anxiety disorders, mood disorders, suicidal behavior and selfharm, schizophrenia, substance use disorders, neurodevelopmental disorders, dementia, and other mental health problems. Also, findings suggest a high burden of maternal depression, psychiatric comorbidities in chronic physical illnesses, and various mental disorders among children, elderly adults, refugees, and other vulnerable populations. Most studies were from India whereas evidence from Afghanistan, Bhutan, and Maldives was limited. Conclusion: The findings of this review are constrained with heterogeneity in prevalence estimations, methodologies, sampling issues, and limitations in the existing literature, which should be addressed in future research. The evidence synthesized in this review provides national and regional overview of the prevalence of mental disorders, which may inform better policymaking and practice advancing mental health in South Asia.

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Section: Key Findings and Implications For Future Researchmentioning

confidence: 99%

Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses

Hossain

Purohit

Sultana

et al. 2020

Asian Journal of Psychiatry

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“…We also observed that older people are more vulnerable to experiencing poor mental health (Riley et al, 2017) which has been also seen among the refugees of Germany, Italy, and the UK who were displaced from Yugoslavia (Bogic et al, 2012). This may be due to the added impacts of chronic disease burden among the older population as there are evident relationships between the non-communicable disease, depression, and anxiety (Singh et al, 2019). In contrast to that, a study on Syrian refugee children showed the impact of parents' hostile mental health causes PTSD among children (Eruyar, Maltby and Vostanis, 2018).…”

Section: Discussionmentioning

confidence: 51%

Mental health and wellbeing of Rohingya refugees: A scoping review

Das¹,

Prima²,

Rimu³

et al. 2022

Preprint

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The Rohingya population are being exiled form Myanmar during several humanitarian crises since 1978 with a recent spike in 2017. Reportedly, the violence, persecution and trauma have posed grievous impacts on the mental health of these forcibly displaced people. This scoping review aims to synthesize the evidence regarding overall epidemiologic burden of psychological problems of Rohingya refugees with their associated factors. We evaluated five major databases and additional sources till 08/05/2022 and included articles according to the eligibility criteria following the Joanna Briggs Institute (JBI) guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. Out of 331 citations retrieved from multiple sources, we included 24 articles in this review. Most of the articles reported high prevalence of different psychological symptoms of Rohingya refugees, such as, depression, anxiety, post-traumatic stress disorder, persistent complex bereavement disorder, feeling of afraid etc. Several correlates of mental health problems were reported, including older age, female, illiteracy, experiences of torture, sexual violence, unemployment, food insecurity, statelessness, separation from family, lack of healthcare access, overcrowded and unhygienic campsites, preexisting health problems etc. There is huge gaps in community level intervention studies, however, Group Integrated Adapt Therapy (IAT-G) and Mental Health and Psychosocial Support (MHPSS) services are widely used. The available evidence suggests a huge burden of mental health disorders with several biopsychosocial factors that may assist in better policymaking and implementation of multilayered approaches like improving healthcare access, training healthcare providers, more community-based intervention studies, and introducing tele-mental health services for Rohingya refugees.

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“…These conditions are due to patients associated with risky lifestyles such as substance use, obesity, physical inactivity, risky sexual practices, poor nutrition, and use of psychiatric medications. 11,[16][17][18][19] Despite the increased risk to medical conditions, they are rarely diagnosed and managed adequately because fewer patients' visits are made to other physicians, few consultations to physicians, and if done, most of their symptoms are misinterpreted as somatic symptoms. 20,21 They also rarely undergo a complete physical examination by their primary physicians, who mainly deal with mental health issues.…”

Section: Discussionmentioning

confidence: 99%

Mortality Among Patients Admitted in a Psychiatric Facility: A Single-Centre Review

Kaggwa¹,

Najjuka²,

Harms³

et al. 2021

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Background: There is higher global mortality among persons living with mental illness than the general population, attributed to the risky behaviours associated with mental illness, medical comorbidities, or side effects of psychiatric medications that result in premature death among psychiatric in patients. Objective: This audit aimed to describe the characteristics of patients with mental illness who died during admission at a tertiary psychiatric ward in Uganda. Methods: This was a retrospective chart review of patients who died while admitted to a psychiatry ward between January 1995 to July 2020. Results: We reviewed 30 charts, of which 18 (60%) patients were women. The majority of patients died during 2002 (13.3%). Many were diagnosed with a brief psychotic disorder, 7 (23.3%), followed by bipolar disorder 6 (20.0%). HIV and epilepsy were the most common comorbidities. The majority of the death causes of death were unknown, 20 (66.7), but heart attack (n=2) was the most identified cause. Conclusion:The majority of the causes of mortality were unknown. The most common cause of mortality was heart attack, a common effect of metabolic disease and chronic antipsychotic use. Mortality audits are warranted to identify possible causes and to develop strategic interventions for mortality prevention.

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The prevalence of non-communicable disease risk factors in community-living patients with psychiatric disorders: A study from North India

Cited by 10 publications

References 19 publications

Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses

Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses

Mental health and wellbeing of Rohingya refugees: A scoping review

Mortality Among Patients Admitted in a Psychiatric Facility: A Single-Centre Review

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